Staff Handbook - Selah School District

Table of Contents
OUR Purpose .................................................................................................................. 5
Teacher Guidelines & Expectations ................................................................................ 6
Animals (ref. District policy 2029 and 2029P) ................................................................. 7
Attendance ...................................................................................................................... 7
Behavior Management .................................................................................................... 8
SAMPLE CLASSROOM BEHAVIOR MANAGEMENT .................................................... 8
Classroom/Work Areas ................................................................................................... 9
Communication ............................................................................................................... 9
Conferences ........................................................................................................ 9, 10, 11
Correspondence with Parents ....................................................................................... 11
Emergency Procedures ................................................................................................. 11
Evaluation of Teachers .................................................................................................. 11
CRITERIA ............................................................................................................. 11 & 12
CRITERIA/SUPPORT PERSONNEL .................................................................... 12 & 13
Field Trips ..................................................................................................................... 13
Files/Student Records ................................................................................................... 14
Forms ............................................................................................................................ 15
Inclement Weather ........................................................................................................ 15
Leaves ........................................................................................................................... 15
Lunches/Milk Program ................................................................................................... 16
Lunchroom Supervision/Rules ...................................................................................... 16
Medical/Health Room Information ................................................................................. 16
Parking .......................................................................................................................... 17
Placement Policy ........................................................................................................... 17
Purchases ..................................................................................................................... 18
Referral Process for Students in Need of Extra Support ............................................... 18
Referrals for Abuse/Neglect .......................................................................................... 19
Snacks .......................................................................................................................... 19
Sunshine Fund Guidelines ............................................................................................ 19
Staff Development/Travel Requests .............................................................................. 19
Student Appearance...................................................................................................... 20
Substitute Teachers ...................................................................................................... 20
Supervision ................................................................................................................... 20
Supplies/Equipment ...................................................................................................... 21
Telephone Use .............................................................................................................. 21
Video Usage .................................................................................................................. 22
Volunteers ..................................................................................................................... 22
Winter Weather Alerts ................................................................................................... 22
Workday for Teachers ................................................................................................... 23
Work Orders/Maintenance ............................................................................................ 23
Review of District Policies/WAC ........................................................................ 24, 25, 26
Speical Programs/Services ........................................................................................... 27
SCHOOL COUNSELOR ............................................................................................... 28
TITLE I SERVICES ....................................................................................................... 28
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SPEECH/LANGUAGE PATHOLOGIST/SLP ................................................................ 29
PSYCHOLOGIST .......................................................................................................... 29
HEALTH CONCERNS AND SCHOOL HEALTHROOM PARA-EDUCATOR ................ 29
HOME VISITOR ............................................................................................................ 30
OCCUPATIONAL THERAPIST ..................................................................................... 30
PRESCHOOL ................................................................................................................ 30
John Campbell Elementary Library Usage ............................................................ 31 & 32
Classified Staff Information ........................................................................................... 33
Keeping Informed .......................................................................................................... 34
Leave ............................................................................................................................ 34
Other Information .......................................................................................................... 35
Radio Use ..................................................................................................................... 35
Time Sheets .................................................................................................................. 35
Winter Weather Alert ..................................................................................................... 35
PLAYGROUND SUPERVISOR RESPONSIBILITIES ................................................... 36
LUNCHROOM SUPERVISOR RESPONSIBILITIES..................................................... 36
CROSSWALK SUPERVISOR RESPONSIBILITIES ..................................................... 37
Appendix ....................................................................................................................... 38
Student Release .............................................................................................................. A
PRE-ARRANGED ABSENCE FORM .............................................................................. B
OBSERVATIONS AND EVALUATIONS .........................................................................C
STUDENT FIELD TRIP REQUEST .................................................................................D
Sack Lunch Request ....................................................................................................... E
FIELD TRIP/ACTIVITY PERMISSION SLIP ..................................................................... F
Student Record Access .................................................................................................. G
Request for Leave ...........................................................................................................H
Procedures for Transportation Requests .......................................................................... I
Guide for Substitute Teachers ......................................................................................... J
Guide for Substitute Teachers page 2………………………………………………………..K
Hints for Ed Report Articles ............................................................................................. L
School Map ……………………………………………………………………………………..M
GUIDELINES FOR VIDEOS ...........................................................................................N
Video/Film Usage ........................................................................................................... O
PG Movie Permission Slip ............................................................................................... P
Supplemental Materials Approval ................................................................................... Q
Supplemental Materials Approval page 2……………………………………………………R
Child Abuse Reporting From ........................................................................................... S
PHYSICAL INJURY INDICATOR CHART ....................................................................... T
District Non-discrimination Statement
U
o
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Selah School District
OUR PURPOSE
To ensure high levels of learning for all students in
Selah, every day.
THE FOUR QUESTIONS
What is it we expect them to learn
How will we know when they have learned it
How will we respond when they don’t learn
How will we respond when they already know it
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Animals (ref. District policy 2029 and 2029P)
No animals are to be allowed in the classrooms without prior written
permission. Exceptions are only to be allowed if:
1. The animal is in a sealed container (e.g. aquarium with lid versus
screened cage/box); and
2. The responsible staff member accepts fiscal responsibility, in writing,
for any extermination or negative health consequences which may
result.
3. Principal has given prior approval.
4. After determining your students do not have allergies to animals,
teachers may take their class outside to see pets.
Attendance
1. Please complete daily attendance every morning before 8:45
a.m.
2. Students are not tardy until after 8:40
3. Please refer any notes, phone calls, or parent contact regarding
attendance, absences, or tardies to the attendance person.
4. Contact parents or the Dean of Students if you become concerned
about a child's attendance.
5. When a child is tardy, mark them tardy on your Skyward
attendance. If you have already taken attendance, he/she should
report to the office so that records may be corrected.
6. Visitors must sign in at the office before visiting in building areas or
rooms.
7. Parents are to sign in at the office when a child is to leave during
the day for any reason such as an appointment. If someone other
than the parent will be picking up the child, we must have received
notification from their parent either by telephone or in writing prior to
releasing their child. If an aide or teacher is unsure about a child
leaving the playground with an unfamiliar adult, please question
whom the adult is and where they are going; then notify the office.
8. Parents requesting a pre-arranged absence for their child must
complete the John Campbell Elementary School Pre-Arranged
Absence Form (See Appendix B).
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9. Please use the John Campbell Elementary Student Release form when
releasing students to parents from program, plays, etc. (Contact the office if
you have any questions.) (See Appendix A)
10. When concerned about a student's attendances please notify the Dean of
Students.
Behavior Management
1. Teachers are expected to enforce the rules of the school regardless of the
student(s) involved. Every effort should be made to support disciplinary
actions of other staff members. School rules and disciplinary procedures are
located in the green “Parent/Student Handbook”. Please go over these with
your students several times during the year as these rules contain safety
guidelines as well as rules meant to maintain an orderly environment. They
will be sent home at the beginning of the year.
2. Individual classroom rules and consequences should be written down and
made available to students. A copy of these needs to be left with the
assistant principal. Classroom and building wide expectations should be
reviewed in each classroom regularly.
3. Clearly discuss instructions for discipline, safety, and behavior with each
student.
4. More serious offenses are to be reported to the child’s teacher or the Dean of
Students. Disciplinary report forms need to accompany each child when they
are sent to the office with staff input/action taken filled out. (see Student
Handbook)
5. Make sure each child has a chance to start over with a clean slate.
SAMPLE CLASSROOM BEHAVIOR MANAGEMENT
1. Verbal warning to correct behavior.
2. Time out from activity/area to make a plan for correction.
3. Loss of privileges, recess, centers, free choice, stickers, etc.
4. Call home, notify parents by mail, or have Home Visitor contact parents.
5. Refer student to principal or assistant principal.
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Classroom/Work Areas
1. All staff members are responsible for the tidiness of classrooms, teachers’
lounges, and workrooms. Please pick up after yourself. Teachers may be
assigned clean-up duty in the teachers' lounge.
2. Please do not use tape on classroom carpet.
3. Please pick up large items that can’t be vacuumed off the floor.
4. Please do not staple on classroom walls or hallways.
Communication
1. Check your mailbox and e-mail messages at least twice a day -
preferably before school and at noon to avoid missing important
messages.
2. School business mail may be placed in the "In-District” mailbox in the
office and it will be mailed with postage paid.
3. Messages for students that come to the office will be held and delivered
via intercom, phone, or note at 2:45 p.m. for students each day. This
will cut down on interruptions of lessons, etc. Please be in your room or
area by then.
4. For safety concerns notes or parent messages will not be delivered to
the classroom after 2:45.
Conferences
Regular Parent Conferences are scheduled October and March. During these
weeks school will be dismissed at 11:30.
o PREPARING YOURSELF
1. You will want to have plenty of information on hand about each
pupil in your class. Get together the cumulative record folders,
recent tests, health records, and all other available data for preconference
review. Be ready to tell the parent whether this child is
working up to his ability, where he is strong, and where he is weak.
2. Prepare a folder of each pupil's work to give to the parents. Include
samples of work done in every subject from the beginning of the
trimester until conference time.
3. It is a good idea to schedule an easy, pleasant conference as a
starter.
4. Early arriving parents should have a comfortable place to wait for
their conference, outside the room.
5. Interruptions are disturbing to parents as well as to you. Have a
neat sign on your door saying "Conference in session. Please do
not disturb."
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6. Have some textbooks and professional journals or pamphlets on a
table or chair outside your door for parents.
o CONFERENCE TECHNIQUES
1. Begin and end the conference with a positive comment about the
child.
2. Hear criticism fully and get suggestions. Avoid arguments and,
when it is desirable to change a point of view, do it diplomatically.
3. Try to put yourself in the place of the parent and try to imagine what
affect your remarks will have. BE TRUTHFUL, but remember that
you are talking to a parent about their most prized possession, their
child. COMBINE TRUTH WITH TACT.
4. DO NOT LET YOUR DESK BE A BARRICADE BETWEEN YOU.
Use the table in your room.
5. It is usually possible to evaluate a pupil's progress without being
critical.
6. Find out how the parent is thinking and feeling about his child. This
is important, because you can better understand Suzie's behavior if
you know her mother's and father's attitudes.
7. If a parent tells you why he thinks his child is acting a certain way,
accept it and lead the conversation on to other possible causes.
8. Avoid any tinge of argument.
9. Keep your eyes open for possible signs of emotions, expressions,
gestures, and change in voice.
10. If you have no suggestions for improving a bad trait, do not
bring it up.
11. Do not confuse the parent by trying to show every piece of work
their youngster has done in the past months.
12. You may get an unflattering earful about "THAT" former teacher
who taught Eddie. Here you will want to be sure your attitude
reflects ONLY THE GOOD of that teacher, and of other teachers
and schools, too.
13. Similarly, do not let comments about other children enter the
conversation. Do not compare brothers and sisters.
14. Do not suggest home activities that are really the responsibility of
the school.
15. Do not show the parents only the poorest or best work. Show the
whole range.
16. It is a mistake for you to try to tackle serious psychological troubles
of children. Refer them to the counselor or psychologist.
17. Do not use educational "double talk". Words like "immature",
"aggressive", "maladjusted", and "retarded" may have different
meaning for the parent.
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o ENDING THE CONFERENCE
1. As a signal that the conference is over, you may suggest another
meeting soon, or say, "I see Mr. and Mrs. Gordon are waiting for
their conference."
2. Make clear you welcome the chance to confer with them at any
time.
3. Extend an invitation to visit the school any time.
4. If the child is in study skills, speech, or sees the counselor, extend
an invitation to visit the above people. They can stop at the office
for the directions to the different rooms.
Correspondence with Parents
A copy of all correspondence sent home with students should be approved by
the principal or assistant principal first and a copy filed in the office. Please give
a copy of the correspondence to Jennifer or Jaime in the office. Memos
circulated among staff should also be filed in the office.
Emergency Procedures
Crisis Management Procedures are provided to every staff member. Please,
carefully read and be familiar with John Campbell’s procedures.
Evaluation of Teachers
Teachers will have the option between the new teacher evaluation system with the
Danielson framework or the traditional evaluation process.
CRITERIA
These are the criteria on which teachers will be annually evaluated. This criterion is to
be used by all evaluators for the purpose of evaluation in the Selah School District.
1. Professional Preparation and Scholarship
The certificated classroom teacher exhibits, in his/her performance, evidence
of having a theoretical background and knowledge of the principals and
methods of teaching and a commitment to education as a profession.
2. Knowledge of Subject Matter
The certificated classroom teacher demonstrates a depth and breadth of
knowledge of theory and content in general education and subject matter
specialization(s) appropriate to the elementary and/or secondary level(s).
3. Instructional Skill
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The certificated classroom teacher demonstrated in his/her performance a
competent level of knowledge and skill in designing and conducting an
instructional experience.
4. Classroom Management
The certificated classroom teacher demonstrates in his/her performance a
competent level of knowledge and skill in organizing the physical and human
elements in the educational setting.
5. Handling of Student Discipline and Attendant Problems
The certificated classroom teacher demonstrates the ability to manage the
non-instructional human dynamics in the educational setting.
6. Interest in Teaching Pupils
The certificated classroom teacher demonstrates an understanding of
commitment to each pupil taking into account each individual's unique
background and characteristics. The certificated classroom teacher
demonstrates enthusiasm for, or enjoyment in, working with pupils.
7. Effort Toward Improvement When Needed
The certificated classroom teacher demonstrates an awareness of his/her
limitations and strengths and demonstrates personal growth.
* Observations: For evaluation, one or two observations by principal or
assistant principal are required during the school year. Provisional staff
will be evaluated using the Danielson Teaching and Learning
Framework.
CRITERIA/SUPPORT PERSONNEL
These are the criteria on which support personnel will be annually evaluated. This
criterion is to be used by all evaluators for the purpose of evaluation in the Selah School
District.
1. Knowledge and Scholarship in Special Field
Each certificated support person demonstrates a depth and breadth of
knowledge of theory and content in the special field. He/she demonstrates
an understanding of and knowledge about common school education and the
education milieu grades K-12 and demonstrates the ability to integrate the
area of specialty into the total school environment.
2. Specialized Skills
Each certificated support person demonstrates in his/her performance a
competent level of skill and knowledge in designing and conducting
specialized programs of prevention, instruction, remediation, and evaluation.
3. Management of Special and Technical Environment
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Each certificated support person demonstrates an acceptable level of
performance in managing and organizing the special materials, equipment
and environment essential to the specialized programs.
4. The Support Person as a Professional
Each certificated support person demonstrates awareness of his/her
limitations and strengths and demonstrates continued professional growth.
5. Involvement in Assisting Pupils, Parents, and Educational Personnel
Each certificated support person demonstrates an acceptable level of
performance in offering specialized assistance in identifying those needing
specialized programs.
See Appendix C
Field Trips
1. Requests need to be turned in to the principal or assistant principal at
least 15 days before the date scheduled. (teachers need to fill out their
own requests)
2. Field Trip Permission Forms: A "Field Trip/Activity Permission Slip"
must be sent home with each child with each field trip planned. This
form must be filled out, signed by parent/guardian, and returned to
the teacher before the student is allowed to attend the field trip.
Verbal permission over the telephone is not an acceptable
alternative. A faxed form is acceptable with a parent/guardian
signature. It is your responsibility to account for each child having
a signed form on file. (The field trip form is located in the office.
Spanish forms are also available.)
3. Please remember to take the signed field trip permission, emergency,
and the important medical information (provided from the health
room) forms with you on all field trips.
4. The staff member shall be responsible for securing additional supervision for
the trip (one adult to a maximum of ten students). Ref. District Policy 2320P.
Chaperones are responsible for students they are supervising, therefore
bringing siblings is discouraged.
5. It is the teacher’s responsibility to contact the central kitchen supervisor two
weeks in advance if the lunch program will be impacted because of a field
trip.
6. Please do not schedule field trips on days that you know you will be gone
(personal days, pre-arranged sick leave, etc.) Please record events on the
office calendar.
7. Please notify the principal by September 25 if you are going to request an
out-of-county field trip.
8. Building policy for taking students’ medication on field trips. It is the
teacher’s responsibility to contact the health room if a student needs
medication while on a field trip. Please notify the health room attendant at
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least three days prior to the field trip so appropriate paper work can be
completed.
9. Remember to take a first aid kit from the health room on all field trips.
10. It is not necessary to have a field trip permission form signed by parents
when traveling to another Selah School District building.
11. It is the teacher’s responsibility to arrange for supervision of students without
a signed permission form. Leaving the student(s) in the office is the last
resort.
12. Students may not be charged to attend school-sponsored field trips.
Ref. District Policy 2320
See Appendices D, E, F, & I
Files/Student Records
1. Student files are confidential and are managed only by certified staff
and secretaries. This excludes all para-educators, student teachers,
volunteers, and tutors. However, a teacher may assign recording
duties on the files to para-educator as long as the teacher remains
responsible for the files confidentiality, and that person signs the
student record access log (located on inside of white cumulative file).
(sample, next page) Information must be recorded in ink. For
tracking and accountability, files should remain in the greater office
area (office, staff lounge, or conference room) while being updated.
2. Each teacher receives a strip of small student pictures taken in the fall.
One small picture of each student is to be placed on the cumulative
photo record card located in the file. The remaining pictures on the
strip may be used for class projects.
3. New students who have had psychological testing should be brought
to the attention of the school psychologist or counselor.
4. Specialists are to note on the cumulative folder under "Special
Program Record" when a child entered their program or withdrew
from it. This includes special education, speech services, gifted,
migrant/bilingual, and Title I reading/math. Information must be
recorded in ink.
5. Before checking out at the end of the school year each classroom
teacher will provide the secretary with a complete written list of all
students being non-promoted; in the same grade, to transition rooms,
or to bridge room. In addition, third and fourth grade teachers will
provide a list of all students being promoted with an individual learning
plan.
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6. If student’s name appears in CAPS on your class list see a secretary
for further information.
See Appendix G
Forms
Request forms (e.g. field trips, optional, leave,) are in file
cabinet/shelves in main office. Examples of some forms are located in
the Appendix section.
Inclement Weather
When we have inclement weather, generally, teachers will determine whether
children will go out or remain inside. The office will notify, via the intercom, if
recess is closed due to temperature as determined by contract. Teachers should
talk to their students about how to stay dry and warm. If a parent calls and is
upset that their child got wet outside or had nowhere to go during bad weather,
the call will be referred to the individual teacher. On days when teachers have
stayed in with their whole class because of bad weather they may leave early,
although they need to notify the office that this will happen.
Leaves
1. The golden rod (buff) leave slips are to be completed for ANY pre-arranged
leave. This means for any sick leave appointment you know of in advance or
any vacation or personal leave plans you have, etc. The white slips (Certified
Employee Confirmation of Absence) are required if you are sick unexpectedly
and don’t fill out the leave slip until you return to work. The golden rod (buff) and
white slips both require a building administrator’s signature.
2. No more than four personal days granted per day at any site. After spring
vacation no more than three personal days granted per day at any site.
See Appendix H
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Lunches/Milk Program
1. Lunches, breakfasts, meals, and milk tickets are sold between 8:00 a.m. and
8:30 a.m. (before classes begin). Please encourage your students to buy at that
time, although they may purchase meals at lunchtime.
2. Parents may pre pay for lunches online.
Lunchroom Supervision/Rules
1. Teachers should accompany their classes to the lunchroom and stay with
them until they are all in line within the cafeteria. An example follows: First lunch
classes should arrive no sooner than 10:45, second lunch 11:05, third lunch
11:25 etc. Please review appropriate lunchroom behavior with your students
periodically. It is each teacher’s responsibility to make sure that his/her students
enter Sunset School and the lunchroom quietly.
2. A seating chart as well as a lunchroom helper schedule is included in your
beginning school packet.
a. Lunchroom helper schedule is included in your beginning school
packet.
b. Have same (six) students throughout week unless absent.
c. Different students each week for month beginning on Monday.
d. Students need to be at lunchroom 10 minutes before lunch.
e. If teacher is going on field trip, pick another teacher for a
replacement at least a week in advance and let kitchen know.
f. ALWAYS notify kitchen if not going to lunch room for any reason a
couple days in advance.
3. Lunchroom Rules:
a. Children will walk to the lunchroom.
b. Children should follow sound level 2 when in the lunchroom.
c. Children are responsible for cleaning and stacking their plates and for
cleaning up after themselves.
d. Children with cold lunch are expected to pick up after themselves, too.
e. There is to be no throwing of food.
f. Children should remain seated unless there is a legitimate need.
Children should obtain permission from the supervisor before using the
bathroom.
Medical/Health Room Information
1. Medication will only be administered at school after a "Student Medication In
School" form is signed by both parent and physician. This includes nonprescription
medication such as aspirin, decongestants, cough syrup, and cough
drops, as well as prescription drugs and inhalers. Medication will be kept in
locked cabinets in the nurse's room, never in the classrooms. Teachers may be
authorized to give medication while on a field trip. Please see Field Trip section.
2. Give students Health Room passes when sending them to the nurse, and make
sure you tell students to go to the office if the nurse isn't in the health room.
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Parking
Teachers may park in the lot across from John Campbell and in the west or east
Sunset lot. Please do not park in front of the school. Please use the crosswalk.
Placement Policy
Placement of New Students - The major criterion for placement of new students
will continue to be the NUMBER of students in the class. But, when the numbers
are within two or three of each other, the following criteria may be used to help
determine placement:
1. Give consideration to the current classroom make-up (e.g. the number of
students with special needs) in relation to the needs of the new student.
2. Give consideration to parents’ requests for a particular type of program.
3. Consider recent placement of other new students (i.e. no more than one per
week if possible).
4. Consider the balance between the sexes in the class.
Procedures: We will continue to use the entry form, noting parents’ input as to
the student's educational needs. We will also continue to give teachers advance
warning of the student's arrival in his/her room when possible.
Mid-Year Room Changes - The room change will be considered after other
means of resolving the problem have been tried. A room change may be
appropriate when there is a clear mismatch between a student and the teacher,
the program, or another student, which has interfered with learning over a
considerable period of time.
o Procedures:
1. The decision to make a room change will take place within the
context of a conference with the teacher, parents, administrator
or counselor, and any building specialist involved. The
conference may be initiated by any one of the above persons.
Afterwards the student to be moved will be informed of the
decision and the reasons for it by those at the conference.
2. Placement will be determined by an administrator with input
from all concerned, including parents and student.
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Purchases
1. Purchases are to be made only by purchase order typed by a building secretary
and signed by a principal before an order can be placed. Any employee incurring
obligations without first obtaining a purchase order will be held liable for the
unauthorized purchase. Ref. District Policy 7320.
2. Teachers may not use the name of the school district when ordering items, which
they intend to use for themselves. Billings are invariably sent to the school or
District office and immediate questions are raised.
3. If collecting money for any reason see your building principal first.
Referral Process for Students in Need of Extra Support
After documented interventions have been attempted in class to assist a struggling
student, and parents have been contacted regarding the student’s struggles:
Fill out the SST referral form as completely as possible and turn it in to the
assistant principal.
o Depending on the concern/s there may be some informal
observations/inquiries done prior to the meeting.
Supply student work samples and documented interventions tried with results to
illustrate the concerns.
o Assistant principal will build and email the SST meeting agenda to
everyone.
As a member of the team, the teacher will help brainstorm possible support
options and additional interventions, assessments, and/or documentation needed
to support the student and to pinpoint concerns.
o The teacher will contact parents regarding the brainstormed support
decisions and will include them as part of the child’s support system at
school. The teacher will implement recommendations and record or gather
additional information as necessary.
If the team decides to attempt more interventions or gather additional information
the student’s progress will be monitored to determine the effectiveness of the
intervention.
o The team will discuss the student again at a predetermined date(s) and
decide if the intervention is sufficient for helping that student.
o After If the intervention data illustrates that the student needs more long
term assistance then the team will discuss additional options.
If the team decides that they have exhausted interventions or additional support
options then a parent meeting will be set up with the team members that work
with the student (ie: parents, teacher, administrator, counselor, Title Teacher,
ELL teacher etc.).
o As a team with the parents a decision can be made to refer the student to
testing for special education.
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School psych. will prepare parent permission documents
General education teacher or school psych. will call parents and set up a meeting
with parents to get permission to assess
o If parents have questions that need to be addressed prior to meeting they
can be referred to the special ed. teacher or school psych.
At the meeting with parents any questions can be addressed and the testing
process will be outlined.
Referrals for Abuse/Neglect
Any suspected child abuse or neglect needs to be reported to a building
administrator or counselor, as soon as possible. Refer to Board Policy #3421.
Snacks
1. Students should eat snacks in the classroom and not outside during recess.
2. If you have a microwave in your room that you are willing to let students use
to heat their lunches, that is fine as long as there is an adult to supervise.
Sunshine Fund Guidelines
Flowers, Plants, Gift Certificates etc. sent:
1. Staff member with serious illness, injury or surgery/hospitalization.
2. Loss of close family member including parents, in-laws, brother, sister, or child.
Cards Sent:
1. Situation where staff member needs get well wishes or a morale boost.
2. Follow-up in cases of multiple surgeries for same condition (flowers sent for initial
surgery).
3. Congratulations for baby arrival of staff member, or other possible significant
occasion to celebrate.
Staff Development/Travel Requests
1. All staff development requests should be made through the proper
leadership team (reading, writing, math, or science) and should be in
conjunction with the School Improvement Plan. Specialists or other
requests not part of the school improvement plan should be made to the
principal and will be considered in terms of finances and relevance to the
job assignment. For all requests, substitutes and registrations will be
considered. However, travel, meals, and overnight accommodations are
the responsibility of the staff member. If the principal or the district office is
asking for persons to attend a professional development opportunity, all
travel expenses will be paid.
2. Prior to any travel, a BLUE travel request form needs to be filled out. This
needs to be done even if you are not requesting reimbursement.
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See Appendix I
Student Appearance
1. Students' appearance, dress, or accessories shall not be disruptive nor interfere
with the educational process, nor the general health and safety of the students. Clothing
that compromises modesty or depicts violence is not in the best interest of maintaining a
healthy learning environment for students. Please refer to Parent/Student Handbook
for specific information.
Substitute Teachers
1. Utilize the online substitute request system to enter a prearrange absence.
2. Lesson plans should be prepared and available for substitute teachers in
advance.
3. In the event that you are absent, please call your building secretary by 3:00
p.m. to let her know whether or not you will be able to return to school on
the next day.
4. Each classroom teacher is expected to have the following information
available for use with their lesson plans:
a. The “Classroom Guide For Substitutes” (including location of Bodily
Fluids bag).
b. A current class list of names, and if appropriate, seating chart.
c. A daily class schedule.
d. A copy of fire and disaster regulations, and a map of the evacuation
routes.
e. Specific lesson plans that include detailed information
regarding lessons to be taught and materials to be used, where
instructional material is located, etc.
Supervision
See Appendix J, K
1. Children should not be in your classroom when you are not there. If you
need to leave the room, please notify the office and your room will be
monitored. Children should be supervised by their teacher while in the
school buildings, while walking to and from music, keyboarding, P.E., and
library, and when on their way to lunch. If you leave your classroom with
your class for other than scheduled activities, please notify the office and
leave a note on your door indicating where your class can be located.
2. Students are not to loiter inside buildings or on school grounds before or
after school hours. Students are not allowed in the building before 8:30
a.m.
3. If you bring children with you after school or on weekends, remember that
the same rules apply: no skateboarding or rollerblading outside or inside
the building due to safety and carpet concerns. Please remember that
children need to be supervised at all times when in the building.
20

4. As a general rule, the Teacher Lounges and workrooms are off limits to
students, unless supervised by an adult helping with a project. Students
may enter those rooms after 3:00.
Supplies/Equipment
1. When using an office machine for the first time, find a person to instruct you
and read all directions carefully. Tutors are not to operate any office
machines. A trained tutor may only use the Ellison lettering machine.
2. The copy machines are in the supply room across from the office and are
for school use only. Please teach any student teachers or pre-autumn
students how to use these properly. Students may not use the copy
machine or Riso machines (with the exception of PTO). Remember to
use the Riso machine when making 30 or more copies.
3. Writing, drawing, and construction paper is kept in the large supply room
across from the main office. If stock is low, notify the secretary.
4. Desk supplies such as paper clips, tape, pens, erasers, pins, etc., are
located in the cupboard in the workroom. Please note supplies that need to
be re-ordered on the clipboard hanging on the supply cupboard wall.
5. Kleenex may be obtained by contacting the health room attendant. Please
do not send children to pick them up from the nurse's office without
first notifying the health room attendant.
6. Typing of or running off of materials on the machine at the Superintendent's
office must be cleared by secretaries in our office. If you need typing done,
also filter it through the office.
Telephone Use
1. Cell phones are to be put away while at work. Staff may use their cell
phones during your personal lunch time. Please avoid using cell phones
anytime you are supervising children. In addition, cell phones are to be
kept on silent so to not interrupt work and/or meetings.
2. Since classroom phones have local capability, please avoid using
secretaries’ phones unless you need to make a long distance phone call
regarding school business.
3. Generally speaking telephone calls are not to be sent through to the
classroom during the instructional day, rather a message (or transfer to
voice mail is appropriate). Teacher time and attention should be focused
on the students and their instructional activities. Exceptions would be:
a. If an emergency situation existed (it would be wise to send someone
down to cover the class and free the teacher to take the emergency
call as it would probably be upsetting and the students should not be
exposed to any reaction).
21

Video Usage
Volunteers
b. If the teacher, on a rare basis, notifies the office in advance that
he/she is expecting a call from someone and to please put it through
(e.g. from a doctor). The caller should also be advised by the
teacher to alert who ever answers the telephone in the office that
Mr./Mrs. teacher is expecting this call and left instructions in the
office for it to be transferred to his/her room.
2. For the reasons stated above we (school
personnel) also need to limit our telephone calls to
classrooms during the instructional day. It is just
as disruptive to the class when the telephone rings
from another classroom/the office as from outside
the District.
See Appendix P, Q, & R
Teachers are free to use volunteers in their classrooms; however, procedures
have been established for the utilization of volunteers in the Selah Schools.
Each volunteer must complete a form. Volunteer forms must be filled out 48
hours in advance of any form of volunteering. If parents filled out a form last
year the information is still good. See a secretary if you want to know if parents
are currently on file, or if you need forms.
Winter Weather Alerts
1. School closure due to weather conditions: Certified and most classified
employees are not expected to report for work. The missed school day will be
made up later in the year. The revised school calendar will be for the same 180
school days; therefore the workdays will remain the same for the full school year.
2. School delay due to weather conditions: Certified staff are expected to report to
work with the same time interval prior to student arrival as on a normal day.
Example: If a teacher’s normal scheduled arrival is 8:00 a.m., and school is
delayed two hours, the teacher would arrive at 10:00 a.m.
22

Workday for Teachers
1. Teachers should arrive by 8:00 a.m. daily and are responsible for children in their
classroom after 8:30 a.m. Teacher dismissal time is 3:30 p.m.
2. Teachers have a thirty-minute duty free lunch. On rainy days when the teacher
determines it is too wet to go outside and thus remains with students during their
own lunch period, they make take compensation time, that day, for the time spent
on duty.
3. If you need to leave the building during the day, please sign out in the
office when you leave and sign back in when you return. If it is a time other
than your thirty-minute lunch period you need to obtain permission first
from the principal or assistant principal.
Work Orders/Maintenance
Work orders and maintenance requests need to be processed through the
building administrators. Send requests to the assistant principal.
23

REVIEW OF SELAH SCHOOL SELECTED DISTRICT POLICES/WAC
(Please refer to the District website for more specific information)
Policy #2320 Field Trips
Must be cleared through the principal on approved district
forms two weeks prior to the trip. (Refer to J.C.
Guidelines). Any out of county field trip requests must be
submitted no later than September 25.
Policy #2420 Grading and Progress Reports
Parents must be notified if a student is failing while there is
still time to correct the situation before the end of the
grading period.
Policy #3210 Nondiscrimination
The District shall provide equal educational opportunity and
treatment for all students without regard to race, creed, color,
national origin, sex, marital status, etc. (Policy is posted in the
staff lounge and in Policy/Procedure Handbook).
Policy #3421 Child Abuse and Neglect Provision
Discuss any suspected abuse with the principal/assistant
principal regardless of whether the condition is listed among
the sample indicators. (Sample indicators are listed in the
District Policy manual and the Policy/Procedure Handbook).
Policy #4210 Regulation of Dangerous Weapons on School Premises
It is a violation of District policy and state law for any person to
carry a firearm or dangerous weapon on school premises, schoolprovided
transportation or areas of other facilities being used
exclusively for school activities. (Refer to Appendix and
Policy/Procedure Handbook).
Policy # 4215 Use of Tobacco on School Property
The Board of Directors recognizes that to protect students from
exposure to the addictive substance of nicotine, employees and
officers of the school District, and all members of the community,
have an obligation as role models to refrain from tobacco use on
school property. (Refer to Appendix and Policy/Procedure
Handbook).
Policy #5201 Drug Free Workplace
The School Board has the obligation to staff, students, and
citizens to take reasonable steps to assure safety in the workplace
and a high quality performance for the students. (Refer to
Appendix, total policy posted in staff lounge, and in
Policy/Procedure Handbook).
25

Policy #5241 Reporting Improper Government Action
The District encourages the reporting of improper
governmental actions by any District officers or employees and
protect employees against retaliatory employment actions. (Total
policy is posted in the staff lounge and in Policy/Procedure
Handbook).
Policy #5430 Volunteers
This policy outlines procedures for the utilization of volunteers in
the schools. CROSS REFERENCE: 5111, 5111P. and
Policy/Procedure Handbook. Each volunteer must complete a
form. (Forms are included in the packets. Ask a secretary for
more forms if needed).
If parents completed a form last year the information is acceptable
this year. Please contact the office if you need to know whether or
not a parent filled out a form last year.
Policy #6590 Sexual Harassment
This District is committed to a positive and productive education
and working environment free from discrimination, including
sexual harassment. The District prohibits sexual harassment of
students, employees and others involved in school district
activities. (Refer to Appendix, total policy posted in staff lounge
and counseling office, and in Policy/Procedure Handbook).
WAC 392-145-015 Paragraph #6 Transportation
Teachers and all other school district staff shall be notified that
students shall not be requested to transport prohibited items
between home and school on a school bus. Items which shall not
be transported within the passenger area of the school bus shall
include all forms of animal life (except seeing eye dogs), fire arms,
weapons, breakable containers, flammable, and all other articles
which could already affect the safety of the bus and passengers.
26

JOHN CAMPBELL SPECIAL PROGRAMS AND SERVICES
SCHOOL COUNSELOR
The school counselor is primarily concerned with the social and emotional
growth of students. He/she provides direct services to students in the form of
counseling, crisis intervention, play and activity therapy, and developmental
group counseling. The counselor consults with teachers about students who
have been referred for counseling, and can help set up and coordinate
home/school communications and programs. Whenever possible the
counselor will work with parents of students experiencing social/emotional
problems. In severe cases, families are referred to appropriate community
mental health or social service agencies.
While the counselor does not discipline students, he/she can work with children who are
discipline problems. Children who need disciplinary action should first be sent to the
principal or assistant principal.
TITLE I SERVICES
Title I is a federally funded educational program - one part of the Elementary and
Secondary Education Act (ESEA) - which returns tax dollars to the local school districts
to meet local educational needs.
Title I programs may serve only those schools with higher than average
enrollment of children from low-income families. However, Title I programs in
those schools may serve any student who needs extra help without regard to
family income.
John Campbell Elementary is now a school-wide Title I school. The program will
continue to support struggling learners. Title I will follow a building-wide plan in
accordance with specific goals set for the upcoming school year.
28

SPEECH/LANGUAGE PATHOLOGIST/SLP
The SLP is responsible for participating in the evaluation of all students preschool
through twelfth grade who are referred for special education testing. This assessment
usually includes speech/language, auditory memory and discrimination testing. Also
provided are consultation and therapy services to all students enrolled in the special
education program.
The SLP is also responsible for evaluating and providing therapy services to all students
preschool through twelfth grade who are enrolled in the regular education program, but
only require placement in a special education program for a communication disorder.
Students placed in this program usually demonstrate problems in the areas of speech,
language, voice fluency or hearing.
PSYCHOLOGIST
The psychologist works with any student when the need arises. Much of his/her time is
spent with special education concerns. This includes staying in contact with teachers
about students who may become a focus of concern for special education. It also
involves coordinating a team of teachers, speech therapist, and other specialists in
order to identify students who may be in need of special education. This is done
through formal and informal testing of intellectual, academic, language, motor,
perceptual and social-emotional skills, but also through observations, interviews, etc.
The psychologist may only test a student if parent permission has been obtained in
writing (see "Special Education Services" section). From the evaluation the
psychologist, with the team, will arrive at a program recommendation, and if special
education is considered, develop a specific individual education program involving the
parents. Also as a part of special education services the psychologist counsels both
parents and children and provides in-service training to groups of teachers as requested
or as necessary.
HEALTH CONCERNS AND SCHOOL HEALTHROOM
PARA-EDUCATOR
All children attending Washington public schools must have a Certificate of
Immunization Status completed and on file at the school. As of 1985 a student's
immunization must be up to date before he/she can be admitted to school. A student
can be admitted if a series of vaccinations has been started but has not been completed
because of the waiting time between such vaccinations. However, if a student has
begun a series of vaccinations and not followed through at the appropriate times,
he/she will not be allowed to attend school until the vaccinations are received. The
parents are the ones who sign the form. A doctor's signature is not needed.
29

HOME VISITOR
Sasha Valdez is a district-funded social worker who provides a liaison between home
and school. Home visits may be appropriate when teachers have concerns about a
student's health, welfare, attendance, or behavior. She is also helpful in contacting
families with no telephone and who have failed to respond to notes or letters.
OCCUPATIONAL THERAPIST
The OT is a Special Education team member who is responsible for screening,
evaluation, direct treatment, classroom consultation and inservice training. Other
services include coordination of home programs and the design and fabrication of
rehabilitation equipment. Students served include those who exhibit deficits or
developmental delays in the following areas: gross or fine motor function, sensory
integration, visual perception, and activities of daily living (feeding, mobility, etc.)
PRESCHOOL
The early childhood education programs on the John Campbell campus are housed at
Sunset. The program will integrate all children into a coordinated set of learning
activities. Options include four days (Tuesday – Friday) of morning and afternoon
sessions. NO PRESCHOOL ON Monday! Home Base visits provide the option of a
district home visitor going to the home and providing education activities to parents.
30

John Campbell Elementary Library Usage
"The mission of the library media program is to ensure that students and staff are effective users
of ideas and information. "
Information Power: Building Partnerships for Learning. AASL & AECT, 1998
Students:
Any Day is Library Day
Kindergarten and First Grade children may borrow one book at a time.
First grade children participating in AR may borrow two books (1 AR and 1 free choice)
Second grade children may borrow up to two at a time (1 AR and 1 free choice) and
Third and Fourth graders may regularly borrow up to three at a time (two AR and 1 free
choice). When needed for reports this number may increase to four.
Children with overdue books need to return them before borrowing others.
Children are encouraged to return and exchange their book during their weekly scheduled class,
however, library is also available
before school (8:15-8:30 a.m.) or
whenever the classroom teacher permits it (with a library pass).
Due to lunch time duties, the library is not available during lunch. Please use your library passes,
allowing one student per pass and two students per classroom at a time. Library Passes will be
distributed by the library to help manage this.
Books may be presented for renewal by the children as necessary unless there are others waiting for that
specific title. Popular books may not be able to be renewed.
Payment for lost and damaged books is requested when feasible. We realize that not all families can pay
for lost materials however when a book is lost parents need to notify the library by written note or phone
call that they know about the missing book. The child can then resume borrowing library books Payments
are refunded if lost books are returned in good condition and it is within the same school year or within
the first month of the following school year..
Please remind children of appropriate library behavior:
entering quietly through the library entrance
walking, and
using inside voices.
Because there is no passing time, teachers are expected to pick up their classes on time so
the next class does not wait.
Staff:
Teachers may check out materials as needed to support and supplement the classroom curriculum. All
materials are to be returned in a timely manner so others may borrow them.
Teachers are encouraged to use the library as an extension of the classroom for supplemental materials
and research. Cooperatively planned activities between classroom teacher and librarian are encouraged
in order to align library and classroom activities.
Please feel free to offer suggestions for additional materials to the library collection. Purchases will be
made as budget allows.
Materials available for teachers to borrow include:
31

Books: picture books, chapter books, and non-fiction. Picture books and chapter books are arranged
alphabetically by author. Non-fiction books are arranged by subject following the Dewey Decimal
System.
Professional books
Video Tapes
Big Books
The following equipment is available for short-term checkout. Please be sure you are thoroughly
trained on the use of this equipment before borrowing. Please sign up on the equipment calendar to use
the equipment.
Video Camera. The library has a camcorder and tri-pod available for use on school projects.
Teachers and student teachers need to provide their own videotapes. (8mm Hi8)
More:
TV/VCRs: There are TVs and VCRs available throughout the buildings. Please work with the
teachers in your hall, building, or pod for scheduling. The library does not have any additional sets.
PA systems and microphones: There are several PA/tape recorders and microphones for use for
programs. Please plan early for their use, particularly during December and at the end of the year.
Tape Recorders: We attempt to provide each teacher with a tape recorder and 6 headphones.
If anything goes wrong with any equipment, please do not attempt to take it apart. Send it to the
library or call for help. Mishandled equipment can cause additional problems.
32

CLASSIFIED STAFF GENERAL INFORMATION
Keeping Informed
Please be sure to check your mailbox, Friday Bulletin, and e-mail for notices of
meetings, information, etc.
If you need to leave the building during the day, please sign out in the office when
you leave and sign back in when you return. If it is a time other than your thirtyminute
lunch period you need to obtain permission first from the principal or
assistant principal.
Please refer to the following topics in Section 1: Teacher Guidelines and
Expectations for information pertaining to all staff.
Parking
Referrals for Abuse/Neglect
Student Safety/Evacuation
Snacks
Student Appearance
Telephone Usage
Leave
1. The District provides:
Two (2) personal days – no more that three (3) personal leaves shall be
granted at any site per day (requires prior approval)
Five (5) bereavement days – more days may be granted upon request and
will be deducted from sick leave.
Two (2) vacation days (during school year) (requires prior approval)
One (1) sick leave day per month
2. Classified employees have the following options in taking leave (as explained in
the SESP agreement):
Two days of their vacation time can be taken one hour at a time, half day
or full day increments during the school year.
Sick leave can be used in hour increments. If out of sick leave and sick,
the hours the para-educator is sick would be put in and “unpaid leave”
category. The para-educator would NOT be required to take a three day
unpaid leave.
Should no personal leave be remaining and an unexpected,
uncontrollable, and verifiable emergency occurs, the employee may apply
to the Superintendent or designee for additional emergency leave. This
leave would be deducted from the employee’s sick leave.
3. The golden rod (buff) leave slips are to be completed for ANY pre-arranged
leave. This means for any sick leave appointment you know of in advance or
any vacation or personal leave plans you have, etc. The blue slips (Classified
Employee Confirmation of Absence) are required if you are sick unexpectedly
34

and don’t fill out the leave slip until you return to work. The golden rod (buff) and
white slips both require a building administrator’s signature.
4. Remember: When you apply for ANY pre-arranged leave, please fill out the duty
coverage form and give to secretary/assistant principal.
Other Information
Please refer to your Collective Bargaining Agreement for any questions that may
arise.
Radio Use
Please limit your radio use to urgent calls only. This would include a medical
emergency, a severe discipline issue, locating a student quickly, an intruder on
campus (including dogs), etc. The office staff is busy throughout the day,
especially during the lunch hours, and does not have time to handle issues that
are not of an urgent nature.
Time Sheets
1. Time sheets are to be filled in AT THE END OF THE DAY ONLY. Be sure to fill
in your hours daily. Your signature is required on the last day of the pay period.
DO NOT SIGN BEFORE THAT TIME.
2. It is crucial employees understand they need to complete hours worked on a
daily basis and sign the timesheet at the end of each pay period in order to
confirm hours worked (this protects each employee). Employees’ failure to
follow this procedure could result in a delay in payment for hours worked.
Timesheets need to be turned in to the District office the following day after the
designed pay period ends. It is your responsibility - you will not receive notice or
reminders from the JC office or District office. If you are out ill – Jaime will attach
a note to the timesheets stating the reason why there isn't a signature. You will
have a grace period to go to the District office and sign the timesheets.
3. Be sure to call the office no later than 7:30 a.m. on the day of your absence.
PLEASE DO NOT LEAVE A MESSAGE… YOU MUST SPEAK WITH
SOMEONE IN THE OFFICE.
Winter Weather Alert
1. CLASSIFIED employees working a full 260-day year should report to work if
possible to do so safely. This would include some secretaries, maintenance and
custodial staff, central office staff. Classified employees are to report actual
hours worked on their time sheet, and will only be paid for the actual hours
worked.
2. CERTIFIED AND MOST CLASSIFIED EMPLOYEES are not expected to report
for work. The missed school day will be made up later in the year. The revised
35

school calendar will be for the same 180 school days, therefore the workdays will
remain the same for the full school year.
3. CLASSIFIED STAFF may report to work as close to their normal schedule as
possible. CLASSIFIED STAFF are expected to report to work with the same
time interval prior to the students, arriving at least as far in advance of the
student arrival time as they would on a regular day. Example: The normal
scheduled student arrival time is 8:30 a.m., and the employee reports for
playground duty at 8:00 a.m., or 30 minutes prior to student arrival time. If school
is delayed 2 hours, students would begin school in your building at 10:30 a.m.
The employee may report to work at the regular time of 8:00 a.m. and work the
full day. The employee would be expected to report to work by 10:00 a.m. to
assume the playground duty 30 minutes prior to the delayed student arrival time.
The employees work shift would end at the normal time related to the student
day. Classified staff members are to report actual hours worked on their time
sheet, and will only be paid for actual hours worked. There will not be other
school makeup days scheduled for an employee to make up any time lost.
PLAYGROUND SUPERVISOR RESPONSIBILITIES
1. Arrive on time for your assigned duty.
2. Dress appropriately for weather conditions.
3. Use referral slips for discipline problems when appropriate.
4. When necessary, use orange cones to indicate off-limit areas.
5. Use the orange Emergency Cards for emergencies.
6. Monitor student behavior to ensure safety.
7. Adults not wearing a Volunteer Badge should be asked to report to the office.
8. Wear vest and fanny pack.
9. When your duty is over, please stay until your playground area is clear of
students.
LUNCHROOM SUPERVISOR RESPONSIBILITIES
1. Arrive on time for your assigned duty.
2. Help students with trays, food, and cleaning tables.
3. Remind students to clean their eating areas, including floors, before leaving for
recess.
36

4. Excuse students at the appropriate time.
5. Watch for safety concerns, spills, choking, etc.
6. Monitor student behavior, no running, yelling, etc.
7. Monitor hallway periodically as students arrive and are excused.
8. Use referral slips for discipline problems when appropriate.
CROSSWALK SUPERVISOR RESPONSIBILITIES
1. Be on time for your assigned duties.
2. Place flags in appropriate holders if applicable.
3. Wear proper attire.
4. When crossing pedestrians, walk half-way out into the crosswalk and then motion
for them to cross.
5. Stay in crosswalk until students are safely on sidewalk.
6. If your duty time is over and your replacement has not arrived, for the safety of
students, please remain on duty. Report to assistant principal if this occurs.
7. If your duty is over and students are still approaching, please stay and cross
them.
37

JOHN CAMPBELL ELEMENTARY
STUDENT RELEASE
DATE:____________________
Our students’ safety is important to us. We ask that you provide the following information before we
release any student to you during the school day. Thank you for your cooperation.
YOUR NAME STUDENT’S NAME PURPOSE TIME OUT TIME IN
A

JOHN CAMPBELL ELEMENTARY SCHOOL
PRE-ARRANGED ABSENCE FORM
The Selah School District policy for pre-approved absences reads:
“This category of absence shall be counted as excused for purposes agreed to
by the principal/assistant principal and the parent. An absence may not be approved
if it causes a serious adverse effect on the student’s educational progress…”
I am requesting that my child __________________________________, grade ________,
be approved for absence from school for the following date(s):___________________.
The reason for the absence is:
Parent/Guardian signature:___________________________________
Home Phone:_______________Work Phone:______________Cell Phone: ____________
Date:__________________________________
TO BE FILLED OUT BY CLASSROOM TEACHER:
It is likely that this student’s absence as requested will cause him/her to fail to meet
instructional objectives for this grading period
Yes____
No____ Comments:________________________________________
__________________________________________________________________________
Teacher’s signature______________________________________
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Request approved: Yes____ No____
Principal/Assistant Principal signature_________________________________________
Parent
Notified:______________________Date:___________By:_______________________
c: Student file
Attendance Office
Teacher
B

OBSERVATIONS AND EVALUATIONS
2014-2015
Teachers need to communicate their preference of evaluation system to the
building principal as soon as possible. Teachers will be notified of their
evaluator and type of evaluation by September 15.
Todd
Stephanie
C

SELAH SCHOOL DISTRICT NO. 119
FORM: 2320 F2
FIELD TRIP/ACTIVITY PERMISSION SLIP
An activity has been scheduled for ____________________________________________ to travel to
(Name of class or group)
______________________________________________. This group will leave school at_________
(Destination)
____________________________ and expect to arrive back at approximately _________________
(Time and date)
___________________________.
(Time and date)
----------------------------------------------------------------------------------------------------------------------------------
I understand, and my son/daughter understands, the rules of behavior on this trip will be the same as for all
school functions, whether at school or away from school. I give permission for
_________________________________ (student) to attend this field trip under the direction of
__________________________ (adult sponsor) and I assume full responsibility for him/her. I also agree to hold
harmless the Selah School District No. 119, and its appointed and elected officials and employees while acting
within the scope of their duties and such, from and against all claims, demands, loss, or liability of any kind and
character, including costs of defense, arising out of or in any way connected with the field trip/activity specified in
this agreement.
___________________________________________ _____________________________________
(Signature of parent/guardian)
(date)
----------------------------------------------------------------------------------------------------------------------------------
I understand that field trips/activities are optional and as I wish for my child(ren) to participate, I hereby give
permission for school authorities to seek medical attention/treatment as deemed necessary while on this field
trip/activity. I understand responsibility for any emergency medical attention/treatment would be mine.
___________________________________________ _____________________________________
(Signature of parent/guardian)
(date)
F

SELAH SCHOOL DISTRICT NO. 119
FORM: 3231 F3
RECORD OF ACCESS TO STUDENT RECORDS
Instructions:
Use this form to record requests for access by all persons, agencies or organizations except
those professional personnel of the District with legitimate interests. This record will be
permanently filed with the student record to which it applies and will be available only for
inspection by the parent, eligible student, custodian, senior custodian or District records
custodian.
Date of Access
Requestor's Identity
Record Inspected
or Furnished
Reason for Access
or Release
Person Granting
Access
Student _________________________________________________ Birthdate
__________________________________
File or record _____________________________________________
School/Department______________________ Page_______
G

SELAH SCHOOL DISTRICT #119
REQUEST FOR LEAVE
___________________________________
Name
___________________________________
Signature
_________________________________________
Position
_________________________________________
Date
Pre-Arranged Sick Leave
self family__________(relationship)
Association Leave
Bereavement Leave
friend family__________(relationship)
Personal/Annual/Emergency Leave
Vacation (if available)
Unpaid Vacation*
Non-Contract Day (if available)
Leave of Absence (without pay for up to one year) *
Certificated staff *
Classified staff *
*Please refer to the appropriate bargained agreement for
leave information related to your position.
Adoption Leave
Military Leave
Judicial Leave
Date(s) requested: ____________________________________________________________________
Reason for request: ____________________________________________________________________
____________________________________________________________________________________
____________________________________________
Building Principal or Immediate Supervisor
______________________
Payroll Approval
____________________________________________
Superintendent or Designee
___________________
Date
___________________
Date
___________________
Date
Request granted Request denied Request granted with modification
_________________________________________________________________________________
_________________________________________________________________________________
Copy to:
Payroll
Building Administrator/Supervisor
Employee
Leave of Absence Request - HR
H

2009/2010 PROCEDURES FOR TRANSPORTATION REQUEST
The Selah School District Travel Request Form located on the back of this page, is to be used by all Selah School
District personnel requesting permission to travel out of the District. The Travel Request Form is to be completed by
the individual requesting permission to travel and submitted to his/her supervisor for prior approval at least one week
prior to the anticipated travel. The supervisor will identify the specific budget to charge the travel expenditure.
Travel Request Forms approved by the supervisor will be forwarded to the Superintendent's office for final approval,
dependent on the availability of funds in the appropriate budget and the appropriateness of the request. The District’s
expectation is that staff will carpool whenever possible.
GENERAL INFORMATION
A) All requests must be first approved by your immediate supervisor.
B) All claims for expenses, within the limits allowed, must be submitted within thirty (30) days of activity.
C) Reimbursement, within the limits allowed, will only be provided when proper receipts are attached to the expense
claim.
D) District vehicle(s) are to be used, if available, before reimbursement for private vehicles can be provided, unless
prior permission is granted (via Travel Request Form). When more than one person is attending the same
meeting/conference transportation needs are to be consolidated.
E) Meals which are not included as a portion of registration fees will be reimbursed only when prior approved travel is
required and then only up to the following limits per employee: $11 for breakfast, $13 for lunch, and $20 for
dinner. Receipts are required in order for reimbursement to be provided. A staff member or District officer may be
reimbursed for gratuities not exceeding customary percentages (15%) for the cost of meals as well as reasonable
amounts for such services as baggage handling when the costs are incurred while the individual is engaged in
District business or other approved travel.
If an accident should occur, obtain the following information:
Superintendent.......................................... 509-899-0142 Todd Hilberg ..................................... 509-851-3537
Chris M. Scacco ........................................ 509-952-8177 Stephanie Andler .............................. 509-969-2541
Chad Quigley……………… .. …………….509-833-8480 Rob Darling ....................................... 360-460-6721
Colton Monti .............................................. 360-790-1493 Tami Turner ...................................... 509-969-4831
Marc Gallaway .......................................... 509-728-1554 Rich Rees ......................................... 509-901-8403
Paul Hudson ............................................. 509-961-0453 Joe Coscarart ................................ 509-728-5788
Dana Floyd ................................................ 509-859-6145 Dan Smith…………………….…… .509-961-0024
Name of other driver:
Vehicle license number:
Other driver's insurance company:
Witnesses Names/Addresses/Phones:
Injuries, if any
Police officer at scene:
---SEE BACK FOR FORM---
C:\GREYER\FORMS\TRAVELREQUEST REVISED 7/07
I

CLASSROOM GUIDE FOR SUBSTITUTE TEACHERS AT JOHN CAMPBELL ELEMENTARY
Lock classroom door when you leave the room.
Location of lesson plans, materials, textbooks: __________________________________
_____________________________________________________________________
_____________________________________________________________________
Location of staff handbook: _______________________________________________
Location of bodily fluid bag: __________________ Location of crisis bucket: __________
Attendance: taken by teacher and delivered to the office by 9:00 a.m.
Student helpers in the room: yes __ no __ name(s)_______________________________
Parent volunteer(s) or student tutors in the room: yes __ no __ name(s)_______________
_____________________________________________________________________
________________________________________________________________________________________________________
Flag salute:
daily ___ weekly ___ time __________
Bell schedule: __________________________________________________________
________________________________________________________________________________________________________
Prepared paper work: yes __ no __ where _____________________________________
Evacuation/lockdown drill procedures: _________________________________________
_____________________________________________________________________
Classroom regulations:
Pencil sharpening: permitted ___ not permitted ___ when _________________________
Bathroom: permitted ___ not permitted ___ when ______________________________
Recitation: raise hands ___ stand ___ remain seated ___ spontaneous ___
Recesses and special regulations: ____________________________________________
Dismissal: by bell ___ by teacher ___ by student ___
Lunch procedure: time ________________ where eaten __________________________
Walk students to music, library, PE and the lunchroom.
Discipline: - please refer to building handbook or posted classroom rules
Class leaders (dependability or discussion leaders): __________________________
_____________________________________________________________________
PLEASE TURN OVER
J

Children attending special programs or going out to receive medications:
Name of student Destination Time to go Time to return
_________________ __ __________________________ ___________
_________________ __ __________________________ ___________
_________________ __ __________________________ ___________
_________________ __ __________________________ ___________
_________________ __ __________________________ ___________
_________________ __ __________________________ ___________
_________________ __ __________________________ ___________
_________________ __ __________________________ ___________
_________________ __ __________________________ ___________
_________________ __ __________________________ ___________
_________________ __ __________________________ ___________
_________________ __ __________________________ ___________
Special classes in the building:
Name of teacher Day of week Time of class
Computer Lab _____________ _________ __________
Keyboarding _____________ _________ __________
Music _____________ _________ __________
Library _____________ _________ __________
P.E. _____________ _________ __________
Anything unique in your room you wish to be considered: ___________________________
_____________________________________________________________________
_____________________________________________________________________
Before departure: Please leave room as you found it.
o All papers corrected: yes___ no___ Papers to go home: yes ___ no ___
o Close shades and windows. Chairs on desk or tables: yes ___ no ___
o Note left for teacher: desirable ___ not necessary ___
2-7-07
LOCK CLASSROOM DOOR AND RETURN KEY TO THE OFFICE
K

Helpful Hints When Submitting Ed Report Articles
If you are interested in submitting articles or article ideas for the Selah Educational Report,
the Yakima Herald Republic, or the Selah Independent, here are some things to keep in mind.
What to Submit:
Student Achievements—individual, group or class
Class or group activities and field trip—any activity which promotes learning
Special or unique learning situations
Guest speakers—well known personalities or community members
Teacher achievements/awards
New and interesting ways of learning in the classroom
You can submit photographs or I can take photos. Each year the District produces
numerous publications and photos are always needed.
Tips to Keep in Mind
Feedback has indicated that patrons like to know what is happening in the classrooms.
So please let us know all the wonderful things you are doing. Every classroom project
has a story angle.
If you are submitting information for an article please remember to share pertinent
information such as: date, time of the event, names, location, etc.
What was the main emphasis of the project, field trip or assignment
How did the project or assignment help student learning and understanding (how did
students benefit)
What was student reaction to the project or assignment
More information is better than not enough.
I try and publish all date material right away. If a story can be saved until a later issue
(has no immediacy) it might be used in a later publication.
Just because information is submitted to any of the media outlets (Yakima Herald, TV
Stations DOES NOT mean that it will appear as a newspaper article or feature).
Thank you for your help! Have a great year!
If you have any questions, please call Heidi Diener at 8007.
L

GUIDELINES FOR VIDEOS
The easiest way to explain to teachers about when they can use a video in the classroom is to
ask five yes/no questions. If any of the answers to these questions are “no”, a public
performance license is required for that particular showing.
1. Is the performance in a no-profit educational institution
2. Does the performance take place in a classroom or other instructional place
(library, gym, auditorium, etc.)
3. Is the performance made from a legally acquired copy of the video (owned by the
school, teacher, student; borrowed from a library or regional media center; rented
from a video store; taped off-air within the off-air taping guidelines or other specific
permission)
4. Is the performance ONLY for students and teachers in a regularly scheduled class
(not extra-curricular activities or baby-sitting)
5. Is the use of the video DIRECTLY related to the lesson at hand (part of the class’s
published curriculum and shown during the time that topic is being studied)
If you answer “no” to any of these questions, you will require permission or payment of royalty to
show videos.
Carol Simpson, Ed.D.
Assistant Principal – School of Library and Information Sciences
University of North Texas
N

Selah School District
*Video/Film Usage Guidelines
Note: Per Selah School District policy, form “2020 F3” must be
submitted and approved by building administration before videos
or films may be shown.
G
PG
PG-13
R
NC-17
P-12: Parent permission not needed
P-7: Needs written parent permission
8-12: Parent permission not needed
P-7: Do not show
8-12: Needs written parent permission
P-7: Do not show
8-12: Do not show in its entirety. Parental
permission must be acquired to
show clips
P-12: Do not show
* - Adopted by S.D.L.T. on June 3, 2008.
O

PARENTAL GUIDANCE (PG) MOVIE PERMISSION SLIP
Dear Parent:
(name of teacher)
would like her/his classroom
to view a Parental Guidance (PG) rated movie on .
(date)
How
(title of movie)
correlates to our curriculum:
If you have any questions please call the John Campbell office at 698-8100.
(please sign and return)
I give my permission
I do not give my permission
for
(student name)
to view the movie,
(title of movie)
and I understand how it relates to the curriculum.
(parent/guardian signature)
(date)
P

SELAH SCHOOL DISTRICT NO. 119
FORM: 2020 F3
SUPPLEMENTAL INSTRUCTIONAL MATERIALS APPROVAL
This form is to be completed by any individual or building recommending use of any supplement
instructional materials. The completed form shall be submitted to the appropriate buildin
administrator. Supplemental is defined as instructional materials designed to serve, but not limited
one or more of the following purposes, for a given subject, at a given grade level.
_____ To provide more complete coverage of a subject or subjects included in a given course.
_____ To provide for meeting the various ability/interest levels of students in a given age group
grade level.
_____ To provide for meeting the diverse educational needs of students reflective of a condition
cultural pluralism.
1) Submitted by:__________________________________________________________________
Building: ______________________________________ Date:___________________________
2) Course/subject:_________________________________ Grade Level:_____________________
3) Title of material:________________________________________________________________
Author:_______________________________________________________________________
4) Publisher:______________________________________ Copyright:______________________
5) Type of instructional materials: (Check one) _____ Text _____ Other
6) Approximate cost per unit:____________________ Readability level:_____________________
7) Description of contents:__________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
8) Essential Learning this material will help achieve (Annotated list may be attached.) ___________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Q

Page 2
2020 F3
9) Does this material meet the following criteria found in the District’s policy regarding instructional materials
If not, please use comment section to explain.
_____ Yes _____ No
_____ Yes _____ No
_____ Yes _____ No
_____ Yes _____ No
Instructional materials will enrich and support the curriculum, taking into
consideration the varied interests, abilities, and maturity levels of the students
served;
Instructional materials will provide background information which will assist
pupils to make intelligent judgments in their daily lives.
Instructional materials will present opposing sides of controversial and
significant issues so that young citizens may develop, under guidance, the
practice of critical reading and thinking; and
Instructional materials represent many religious, ethnic and cultural groups and
build on their contributions, current and historical. Members of both sexes
should be represented in a realistic and unbiased manner.
10) Comments:____________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Approval Signatures:
____________________________________________________
Building Principal’s Signature
Date
____________________________________________________
Assistant Superintendent
Date
R

SELAH SCHOOL DISTRICT NO. 119
FILE: 3421 F1
Selah School District #119
CHILD ABUSE REPORTING FORM
105 West Bartlett Suspected Abuse/Neglect/Exploitation
Selah WA 98942 RCW 26.44.040
Today’s Date:
Mail to: DSHS/DCFS
Intake CPS
Mail Stop B-39-12
PO Box 12500
Yakima WA 98909
To Report Child Abuse/Neglect:
Yakima: (509) 225-6556
After regular business
hours/weekends & holidays:
1-800-562-5624
Student’s Full Name:
DOB:
Last First Initial (Nickname)
School Age Grade
Home Address:
Street City State Zip
Name of Parent/Guardian with whom student lives:
Home Phone: Work Phone: Cell Phone: _______________
Known Siblings: (name, age and school)
Please check type of abuse being reported:
Physical Injury Neglect Sexual Abuse
Sexual Exploitation Maltreatment Other (specify)
Description of allegation, injury (use reverse side of white copy to illustrate) or concern, including direct quotes
when possible, and any other helpful background information:
Rep Receiving Report: Date Time
Agency
Signature and Title of Person(s) Making Report: School Date Completed
Signature of Principal/Supervisor
Date
S

CHILD ABUSE/NEGLECT/EXPLOITATION REPORTING FORM
PHYSICAL INJURY INDICATOR CHART
Child’s Name: ________________________________ Date:________________
Indicate areas of injury or concern on body charts below.
FRONT RIGHT BACK LEFT
PALM
RIGHT
SIDE
RIGH
T
LEFT
SIDE
LEFT
RIGHT
SIDE
TOP
RIGHT
LEFT
T

Selah School District Non-discrimination Statement
Selah School District complies with all federal and state rules and regulations and does not
discriminate on the basis of any protected class as defined by law. This holds true for all district
employment and opportunities. The Selah School District specifically does not discriminate on
the basis of sex, race, creed, religion, color, national origin, age (40 or older), marital status,
honorably discharged veteran or military status, gender expression or identity, genetic
information, non-job related sensory, mental, or physical disability, the use of trained dog guide
or service animal by a person with a disability, or any other legally protected status, condition or
characteristic, except where a bona fide qualification disqualifies an individual.
This holds true for all students who are interested in participating in educational programs
and/or extracurricular school activities, and provides equal access to the Boy Scouts and other
designated youth groups.
Inquiries regarding compliance and/or grievance procedures may be directed to the school
district’s Tile IX compliance officer and Section 504 Coordinator, Dana Floyd, Director of Special
Education and Related Services (509)698-8016; ADA Coordinator and Affirmative Action
Compliance Coordinator, Chris Scacco, Assistant Superintendent Business & Personnel (509)
698-8005
T